Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $335.29 / $1,055.34	Facility		$178.64	$335.29	$1,055.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $186.88 / $247.35	Professional		$149.78	$186.88	$247.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $211.15 / $1,033.35	Facility		$150.81	$211.15	$1,033.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $289.17 / $401.25	Professional		$137.28	$289.17	$401.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $240.22	Professional		$164.90	$164.90	$240.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $244.88 / $333.93	Professional		$238.20	$244.88	$333.93
United Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $115.43 / $495.00	Professional		$96.19	$115.43	$495.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83